Health system selects BESLER to assist with the recovery of Medicare Transfer DRG underpayments

(PRINCETON, NJ, April 24, 2015) – BESLER Consulting, a leading provider of Medicare revenue enhancement and protection services for hospitals, is pleased to announce that Lawrence General Hospital of Lawrence, MA has selected the company to assist in the identification of Medicare Transfer DRG underpayments.

Under Medicare reimbursement regulations, when certain patients are discharged to post-acute care, the discharging hospital is paid at a reduced rate. In some cases, this reduced payment is not justified by the actual post-discharge care. These underpayments are not reflective of coding or billing errors on the part of the provider, but more commonly result from a change in the planned course of treatment subsequent to discharge.

BESLER uses proprietary software to efficiently work through the identification and follow-up tasks required to validate the accuracy of post-acute care transfer billing and to ensure compliance. BESLER also offers the BVerified (SM) suite of web-based solutions, which allows providers to bring the work of identifying, prioritizing and recovering Medicare underpayments in-house.

After undergoing a rigorous review, BESLER’s Transfer DRG Revenue Recovery Service was awarded the “Peer Reviewed by HFMA®” designation by the Healthcare Financial Management Association.*

“Our proprietary Transfer DRG technology allows us to review every transfer claim to be sure our clients receive all of the Medicare revenue they’ve earned,” stated Jonathan Besler, BESLER’s President and Chief Executive Officer. “We’re looking forward to working with Lawrence General Hospital on the recovery of Transfer DRG underpayments.”

About Lawrence General Hospital

Lawrence General Hospital was founded in 1875, and is the only private, non-profit community hospital in the Merrimack Valley & Southern New Hampshire regions. Driven by their mission of providing access to high quality, high value medical care for the community, Lawrence General serves over 300,000 patients annually, offering acute inpatient and emergency care, as well as the only pediatric inpatient center in the Merrimack Valley. Lawrence General Hospital is proud to be clinically affiliated with both Beth Israel Deaconess Medical Center and Floating Hospital for Children at Tufts Medical Center.

For more information on Lawrence General Hospital please visit www.lawrencegeneral.org.

About BESLER Consulting

For over 25 years, BESLER has helped hospitals enhance and protect their Medicare revenue. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and software development has resulted in more than $2 billion of additional revenue for our clients. For more information, visit www.besler.com.

* HFMA staff and volunteers determined that this service has met certain criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this service.

BVerifiedsm is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting

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*HFMA staff and volunteers determined that Transfer DRG Revenue Recovery Service and Easy Work Papers have met certain criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this service.